83 FR 51958 - Proposed Data Collection Submitted for Public Comment and Recommendations
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention Federal Register Volume 83, Issue 199 (October 15, 2018)
Centers for Disease Control and Prevention
Federal Register Volume 83, Issue 199 (October 15, 2018)
| Page Range | 51958-51960 | |
| FR Document | 2018-22358 |
[Federal Register Volume 83, Number 199 (Monday, October 15, 2018)] [Notices] [Pages 51958-51960] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-22358] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day-19-1105; Docket No. CDC-2018-0098] Proposed Data Collection Submitted for Public Comment and Recommendations AGENCY: Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice with comment period. ----------------------------------------------------------------------- SUMMARY: The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled One Health Harmful Algal Bloom System (OHHABS). The OHHABS is a voluntary reporting system available to state and territorial public health departments and their designated environmental health or animal health partners. It collects data on individual human and animal cases of illnesses from harmful algal bloom (HAB)-associated exposures, as well as environmental data about HABs. DATES: CDC must receive written comments on or before December 14, 2018. ADDRESSES: You may submit comments, identified by Docket No. CDC-2018- 0098 by any of the following methods:Federal eRulemaking Portal: Regulations.gov. Follow the instructions for submitting comments. Mail: Jeffrey M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-D74, Atlanta, Georgia 30329. Instructions: All submissions received must include the agency name and Docket Number. CDC will post, without change, all relevant comments to Regulations.gov. Please note: Submit all comments through the Federal eRulemaking portal (regulations.gov) or by U.S. mail to the address listed above. FOR FURTHER INFORMATION: To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Jeffrey M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. In addition, the PRA also requires Federal agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information, including each new proposed collection, each proposed extension of existing collection of information, and each reinstatement of previously approved information collection before submitting the collection to the OMB for approval. To comply with this requirement, we are publishing this notice of a proposed data collection as described below. The OMB is particularly interested in comments that will help: 1. Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; 2. Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; 3. Enhance the quality, utility, and clarity of the information to be collected; and 4. Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submissions of responses. 5. Assess information collection costs. Proposed Project One Health Harmful Algal Bloom System (OHHABS)--Extension--National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), [[Page 51959]] Centers for Disease Control and Prevention (CDC). Background and Brief Description The Centers for Disease Control and Prevention (CDC), National Center for Emerging and Zoonotic Infectious Diseases requests a three- year extension for the One Health Harmful Algal Bloom System (OHHABS) for harmful algal bloom (HAB) and HAB-associated illness surveillance. Algal toxins from Harmful Algal Blooms (HABs) include some of the most potent natural chemicals; these toxins can contaminate surface water used for recreation and drinking, as well as food sources. HABs pose a threat to both humans and animals. Human and animal illnesses from environmental exposures to HABs in fresh and marine waters have been documented in the United States. Animal illness may be an indicator of bloom toxicity; thus, it is necessary to provide a One Health approach for reporting HAB-associated illnesses and events. One Health is a collaborative, multisectoral, and trans-disciplinary approach with the goal of achieving optimal health outcomes recognizing the interconnection between people, animals, plants, and their shared environment. HABs are an emerging public health concern. Several outbreaks related to HABs in freshwater settings have occurred in the United States. In 2009-2010, 11 HAB-associated outbreaks in fresh water settings were reported to the CDC Waterborne Disease and Outbreak Surveillance System (WBDOSS). These 11 outbreaks represent 46% of the outbreaks associated with untreated recreational water reported in 2009-2010 and 79% of HAB-associated outbreaks reported to WBDOSS since 1978. At least 61 persons experienced health effects such as dermatologic, gastrointestinal, respiratory, or neurologic symptoms. In August 2014, detectable levels of microcystin, a potent HAB toxin, were detected in the drinking water supply in Toledo, Ohio, resulting in a ``do not drink'' water advisory and an extensive emergency response. Known adverse health effects from HABs in marine waters include respiratory illness and seafood poisoning. In 2007, 15 persons were affected with respiratory illness from exposures to brevetoxins, an algal toxin, during a Florida red tide. From 2007-2011, HAB-associated foodborne exposures were identified for 273 case reports of human illness through a separate five year data collection effort with a subset of states. Of these reports, 248 reported ciguatera fish poisoning or poisoning by other toxins in seafood, including saxitoxin and brevetoxin. A review of national outbreak data reported to CDC for the time period 1998-2015 identified outbreaks of ciguatera fish poisoning as the second most common cause of fish-associated foodborne disease outbreaks in the United States. The purpose of OHHABS is (1) to provide a database for routine data collection at the state/territorial and national level to identify and characterize HAB events, HAB-associated illnesses, and HAB exposures in the United States, and (2) to better inform and improve our understanding of HAB-associated illnesses and exposures through routine surveillance to inform public health policy and illness prevention efforts. OHHABS (electronic, year-round collection) includes questions about HAB events and HAB-associated-illness for human and animal cases. OHHABS, a web-based reporting system, is nationally available for state and territorial health departments to voluntarily report information about HAB-associated human and animal cases and HAB events. States and territories lacking a database to collect information on HAB events and HAB-associated illnesses may use OHHABS as a repository to track and review HAB events and HAB-associated illnesses within their state or territory. OHHABS data may help states and territories characterize the baseline frequency of HAB events and HAB-associated illnesses. Data from states and territories will be assessed by CDC to determine and characterize HAB events and HAB-associated illnesses nationally. As with all routine public health surveillance conducted by CDC, participation by states and territorial health departments with OHHABS is voluntary. Participating states and territories will remain responsible for the collection and interpretation of these data elements at the state level and will voluntarily submit them to CDC. HAB event and HAB-associated human and animal case definitions, which were created for OHHABS with input from state and federal partners, are available online to assist states and territories. States and territories that lack state-specific case and event definitions may use the HAB-associated human and animal case and HAB event definitions to identify suspect, probable, and confirmed HAB-associated cases and HAB events, respectively, to report to OHHABS. There is no cost to respondents other than the time to participate. Authorizing legislation comes from Section 301 of the Public Health Service Act (42 U.S.C. 241). Estimated Annualized Burden Hours ---------------------------------------------------------------------------------------------------------------- Number of Average burden Type of respondents Form name Number of responses per per response Total burden respondents respondent (in hours) (in hours) ---------------------------------------------------------------------------------------------------------------- State/territorial One Health 57 3 20/60 57 epidemiologists. Harmful Algal Bloom System (OHHABS). --------------------------------------------------------------- Total..................... ................ .............. .............. .............. 57 ---------------------------------------------------------------------------------------------------------------- [[Page 51960]] Jeffrey M. Zirger, Acting Chief, Information Collection Review Office, Office of Scientific Integrity, Office of the Associate Director for Science, Office of the Director, Centers for Disease Control and Prevention. [FR Doc. 2018-22358 Filed 10-12-18; 8:45 am] BILLING CODE 4163-18-P
![51958 Federal Register / Vol. 83, No. 199 / Monday, October 15, 2018 / Notices
inappropriate for public disclosure. If will be to facilitate the provision of change, all relevant comments to
you include your name, contact occupational prevention and control Regulations.gov.
information, or other information that services to healthcare personnel. Please note: Submit all comments through
identifies you in the body of your Dated: October 10, 2018. the Federal eRulemaking portal
comments, that information will be on Sandra Cashman, (regulations.gov) or by U.S. mail to the
public display. CDC will review all address listed above.
Executive Secretary, Centers for Disease
submissions and may choose (but is not
Control and Prevention. FOR FURTHER INFORMATION: To request
required) to redact, or withhold,
submissions containing private or [FR Doc. 2018–22377 Filed 10–12–18; 8:45 am] more information on the proposed
proprietary information such as Social BILLING CODE 4163–18–P project or to obtain a copy of the
Security numbers, medical information, information collection plan and
inappropriate language, or duplicate/ instruments, contact Jeffrey M. Zirger,
DEPARTMENT OF HEALTH AND Information Collection Review Office,
near-duplicate examples of a mass-mail
campaign. CDC will carefully consider HUMAN SERVICES Centers for Disease Control and
all comments timely submitted in Prevention, 1600 Clifton Road NE, MS–
Centers for Disease Control and D74, Atlanta, Georgia 30329; phone:
preparation of the final guideline Prevention
Infection Control in Healthcare 404–639–7570; Email: omb@cdc.gov.
Personnel: Infrastructure and Routine [60Day–19–1105; Docket No. CDC–2018– SUPPLEMENTARY INFORMATION: Under the
Practices for Occupational Infection 0098] Paperwork Reduction Act of 1995 (PRA)
Prevention and Control Services and (44 U.S.C. 3501–3520), Federal agencies
may revise the final document as Proposed Data Collection Submitted must obtain approval from the Office of
appropriate. for Public Comment and Management and Budget (OMB) for each
Recommendations collection of information they conduct
Background or sponsor. In addition, the PRA also
AGENCY: Centers for Disease Control and
The Draft Guideline, located in the Prevention (CDC), Department of Health requires Federal agencies to provide a
‘‘Supporting & Related Material’’ tab of and Human Services (HHS). 60-day notice in the Federal Register
the docket, updates two sections from concerning each proposed collection of
ACTION: Notice with comment period.
the 1998 Guideline: C. Infection Control information, including each new
Objectives for a Personnel Health SUMMARY: The Centers for Disease proposed collection, each proposed
Service and D. Elements of a Personnel Control and Prevention (CDC), as part of extension of existing collection of
Health Service for Infection Control. its continuing effort to reduce public information, and each reinstatement of
Those sections described the burden and maximize the utility of previously approved information
infrastructure and routine practices of government information, invites the collection before submitting the
Occupational Health Services for general public and other Federal collection to the OMB for approval. To
providing occupational infection agencies the opportunity to comment on comply with this requirement, we are
prevention and control services to a proposed and/or continuing publishing this notice of a proposed
healthcare personnel. information collection, as required by data collection as described below.
Once finalized, the Draft Guideline is the Paperwork Reduction Act of 1995. The OMB is particularly interested in
intended for use by the leaders and staff This notice invites comment on a comments that will help:
of Occupational Health Services and the proposed information collection project 1. Evaluate whether the proposed
administrators and leaders of healthcare titled One Health Harmful Algal Bloom collection of information is necessary
organizations in order to facilitate the System (OHHABS). The OHHABS is a for the proper performance of the
provision of occupational infection voluntary reporting system available to functions of the agency, including
prevention and control services to state and territorial public health whether the information will have
healthcare personnel. departments and their designated practical utility;
Since 2015, the Healthcare Infection 2. Evaluate the accuracy of the
environmental health or animal health
Control Practices Advisory Committee agency’s estimate of the burden of the
partners. It collects data on individual
(HICPAC) has worked with national proposed collection of information,
human and animal cases of illnesses
partners, academicians, public health including the validity of the
from harmful algal bloom (HAB)-
professionals, healthcare providers, and methodology and assumptions used;
associated exposures, as well as
other partners to develop this Draft 3. Enhance the quality, utility, and
environmental data about HABs.
Guideline as a recommendation for CDC clarity of the information to be
to update sections of the 1998 DATES: CDC must receive written
collected; and
Guideline. HICPAC includes comments on or before December 14,
4. Minimize the burden of the
representatives from public health, 2018.
collection of information on those who
infectious diseases, regulatory and other ADDRESSES: You may submit comments, are to respond, including through the
federal agencies, professional societies, identified by Docket No. CDC–2018– use of appropriate automated,
and other stakeholders. 0098 by any of the following methods: electronic, mechanical, or other
The draft recommendations in this • Federal eRulemaking Portal: technological collection techniques or
Draft Guideline are informed by a Regulations.gov. Follow the instructions other forms of information technology,
systematic literature review of articles for submitting comments. e.g., permitting electronic submissions
published in peer-reviewed journals or • Mail: Jeffrey M. Zirger, Information
khammond on DSK30JT082PROD with NOTICES
of responses.
repositories of systematic reviews; and a Collection Review Office, Centers for 5. Assess information collection costs.
review of occupational infection Disease Control and Prevention, 1600
prevention and control guidelines, Clifton Road NE, MS–D74, Atlanta, Proposed Project
regulations, and standards. This Draft Georgia 30329. One Health Harmful Algal Bloom
Guideline is not, and once finalized will Instructions: All submissions received System (OHHABS)—Extension—
not be, a federal rule or regulation; must include the agency name and National Center for Emerging and
instead its purpose, as discussed above, Docket Number. CDC will post, without Zoonotic Infectious Diseases (NCEZID),
VerDate Sep<11>2014 21:34 Oct 12, 2018 Jkt 247001 PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 E:\FR\FM\15OCN1.SGM 15OCN1](https://thefederalregister.org/doc/83_FR_52157/page/1.svg)
![51960 Federal Register / Vol. 83, No. 199 / Monday, October 15, 2018 / Notices
Jeffrey M. Zirger, and Enrollment Group, Center for programs (BHPs). In states that operate
Acting Chief, Information Collection Review Consumer Information and Insurance a SBE, the AE would include the
Office, Office of Scientific Integrity, Office
Oversight, CMS, 7501 Wisconsin Ave. Medicaid/CHIP agency. Additionally,
of the Associate Director for Science, OfficeBethesda, MD 20814, (410) 786–0639, or there are two states—Minnesota and
of the Director, Centers for Disease Control by email at Jack.Lavelle1@cms.hhs.gov. New York—where the AE operates both
and Prevention. a SBE and BHP. In states that have
SUPPLEMENTARY INFORMATION: The
[FR Doc. 2018–22358 Filed 10–12–18; 8:45 am] elected to utilize the federally-facilitated
Privacy Act of 1974, as amended (5
BILLING CODE 4163–18–P
U.S.C. 552a) provides certain exchange (FFE), the AE would include
protections for individuals applying for only the Medicaid/CHIP agency.
and receiving federal benefits. The law Authority for Conducting the Matching
DEPARTMENT OF HEALTH AND
governs the use of computer matching Program
HUMAN SERVICES
by federal agencies when records in a
system of records (meaning, federal The statutory authority for the
Centers for Medicare & Medicaid matching program is 42 U.S.C. 18001, et
Services agency records about individuals
retrieved by name or other personal seq.
Privacy Act of 1974; Matching Program identifier) are matched with records of Purpose(s)
other federal or non-federal agencies.
AGENCY: Centers for Medicare & The matching program will enable
The Privacy Act requires agencies
Medicaid Services (CMS), Department CMS to provide information (including
involved in a matching program to:
of Health and Human Services (HHS). information CMS receives from other
1. Enter into a written agreement,
ACTION: Notice of a new matching federal agencies under related matching
which must be prepared in accordance
program. agreements) to AEs, to assist AEs in
with the Privacy Act, approved by the
verifying applicant information as
Data Integrity Board of each source and
SUMMARY: In accordance with subsection required by the Affordable Care Act to
recipient federal agency, provided to
(e)(12) of the Privacy Act of 1974, as determine applicants’ eligibility for
Congress and the Office of Management
amended, the Department of Health and enrollment in applicable state health
and Budget (OMB), and made available
Human Services (HHS), Centers for subsidy programs, including exemption
to the public, as required by 5 U.S.C.
Medicare & Medicaid Services (CMS) is from the requirement to maintain
552a(o), (u)(3)(A), and (u)(4).
providing notice of a re-established 2. Notify the individuals whose minimum essential coverage (MEC) or
matching program between CMS and information will be used in the from the individual responsibility
each State Based Administering Entity matching program that the information payment. In addition, to avoid dual
(AE), titled ‘‘Determining Eligibility for they provide is subject to verification enrollment, information will be shared
Enrollment in Applicable State Health through matching, as required by 5 between CMS and AEs, and among AEs,
Subsidy Programs Under the Patient U.S.C. 552a(o)(1)(D). for the purpose of verifying whether
Protection and Affordable Care Act.’’ 3. Verify match findings before applicants and enrollees are currently
DATES: The deadline for comments on suspending, terminating, reducing, or eligible for or enrolled in a Medicaid/
this notice is November 14, 2018. The making a final denial of an individual’s CHIP program. All information will be
re-established matching program will benefits or payments or taking other shared through a data services hub
commence not sooner than 30 days after adverse action against the individual, as (Hub) established by CMS to support the
publication of this notice, provided no required by 5 U.S.C. 552a(p). federally-facilitated health insurance
comments are received that warrant a 4. Report the matching program to exchange (which CMS operates) and
change to this notice. The matching Congress and the OMB, in advance and state-based exchanges.
program will be conducted for an initial annually, as required by 5 U.S.C. Categories of Individuals
term of 18 months (from approximately 552a(o)(2)(A)(i), (r), and (u)(3)(D).
October 2018 to April 2020) and within The individuals whose information
5. Publish advance notice of the
3 months of expiration may be renewed matching program in the Federal will be used in the matching program
for one additional year if the parties are consumers who apply for eligibility
Register as required by 5 U.S.C.
make no changes to the matching to enroll in applicable state health
552a(e)(12).
program and certify that the program subsidy programs through an exchange
This matching program meets these
has been conducted in compliance with requirements. established under ACA and other
the matching agreement. relevant individuals (such as,
Walter Stone, applicants’ household members).
ADDRESSES: Written comments can be
sent to: CMS Privacy Act Officer, CMS Privacy Act Officer, Information Security Categories of Records
and Privacy Group, and Office of Information
Division of Security, Privacy Policy & Technology, Centers for Medicare & Medicaid The categories of records that will be
Governance, Information Security & Service. used in the matching program are
Privacy Group, Office of Information identifying records; minimum essential
Technology, CMS, 7500 Security Blvd., Participating Agencies
coverage period records; return
Baltimore, MD 21244–1870, Mailstop: Department of Health and Human information (household income and
N3–15–25, or by email to: walter.stone@ Services (HHS), Centers for Medicare & family size information); citizenship
cms.hhs.gov. Comments received will be Medicaid Services (CMS), and the AE in status records; birth and death
available for review at this location, by each state. Each is both a source and a
khammond on DSK30JT082PROD with NOTICES
information; disability coverage and
appointment, during regular business recipient agency as explained in the income information; and imprisonment
hours, Monday through Friday from Purpose(s) section below. status records.
9:00 a.m. to 3:00 p.m. AEs administer insurance The data elements CMS will receive
FOR FURTHER INFORMATION CONTACT: If affordability programs, and include from AEs may include:
you have questions about the matching Medicaid/Children’s Health Insurance 1. Social security number (if
program, you may contact Jack Lavelle, Program (CHIP) agencies, state-based applicable).
Senior Advisor, Marketplace Eligibility exchanges (SBEs), and basic health 2. last name.
VerDate Sep<11>2014 21:34 Oct 12, 2018 Jkt 247001 PO 00000 Frm 00038 Fmt 4703 Sfmt 4703 E:\FR\FM\15OCN1.SGM 15OCN1](https://thefederalregister.org/doc/83_FR_52157/page/3.svg)
Document Created: 2018-10-13 10:01:56
Document Modified: 2018-10-13 10:01:56
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice with comment period. | |
| Dates | CDC must receive written comments on or before December 14, 2018. | |
| FR Citation | 83 FR 51958 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR